Answer: Autopsy Example 1 (Page One)

12/01/91. Autopsy Rpt. #A91-21

  1. Chronic lymphocytic leukemia infiltrating liver and bone marrow. Dx: 05/82.
  2. Signet ring cell carcinoma of stomach (linitis plastica) metas. to esophagus, colon, liver, gallbladder, common bile duct, pancreas, mesentery, right lung, adrenal glands, spleen, mediastinal and abdominal lymph nodes, prostate gland and bone marrow. Dx: 11/91.
  3. Adenoca of the (R) bronchus locally invasive. No evid. of distant metastasis.
    Dx: 12/91 (at autopsy).
  4. Myelofibrosis secondary to metastatic signet ring cell carcinoma.


  1. The pathologic diagnosis confirms the original diagnosis of two separate primaries - chronic lymphocytic leukemia and carcinoma of the stomach.
  2. It reveals the presence of a third and previously unsuspected primary tumor - adenocarcinoma of the right bronchus.
  3. Record the description of each separate primary and the metastatic spread of each primary as described in the microscopic (pathological) section of the autopsy report.
  4. The clinicopathologic correlation contains information which may help you interpret other reports and statements found in the medical record.
  5. The cause of death is signet cell carcinoma of the stomach.
  6. Three separate abstracts will be prepared for this case.
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